WO2007038609A3 - Electrode deformable pour dispositif de fermeture d'un foramen ovale permeable - Google Patents

Electrode deformable pour dispositif de fermeture d'un foramen ovale permeable Download PDF

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Publication number
WO2007038609A3
WO2007038609A3 PCT/US2006/037691 US2006037691W WO2007038609A3 WO 2007038609 A3 WO2007038609 A3 WO 2007038609A3 US 2006037691 W US2006037691 W US 2006037691W WO 2007038609 A3 WO2007038609 A3 WO 2007038609A3
Authority
WO
WIPO (PCT)
Prior art keywords
electrode
delivery shaft
closure device
tissue
compliant electrode
Prior art date
Application number
PCT/US2006/037691
Other languages
English (en)
Other versions
WO2007038609A2 (fr
Inventor
Brian K Whisenant
Clark C Davis
Daryl R Edmiston
Original Assignee
Coherex Medical Inc
Brian K Whisenant
Clark C Davis
Daryl R Edmiston
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Coherex Medical Inc, Brian K Whisenant, Clark C Davis, Daryl R Edmiston filed Critical Coherex Medical Inc
Publication of WO2007038609A2 publication Critical patent/WO2007038609A2/fr
Publication of WO2007038609A3 publication Critical patent/WO2007038609A3/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063—Sealing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1435—Spiral
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1475—Electrodes retractable in or deployable from a housing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • C—CHEMISTRY; METALLURGY
    • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08L—COMPOSITIONS OF MACROMOLECULAR COMPOUNDS
    • C08L2201/00—Properties
    • C08L2201/12—Shape memory

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Dispositif médical permettant d'appliquer une énergie RF à une ouverture dans un tissu. Dans un mode de réalisation, ce dispositif médical comprend une électrode déformable, laquelle peut comprendre un matériau à mémoire de forme, tel que du NITINOL, qui lui permet de prendre plus facilement au moins une orientation à l'état de repos. L'électrode peut être déployée à partir d'une tige d'amenée dans l'oreillette gauche du coeur. Elle peut être conçue pour épouser sensiblement la forme du tissu à proximité de l'ouverture dans ce dernier. Après application de l'énergie au tissu entre les électrodes gauche et droite, l'électrode gauche peut être retirée de l'oreillette gauche par réintégration dans la tige d'amenée, puis retrait de ladite tige par l'ouverture.
PCT/US2006/037691 2005-09-26 2006-09-26 Electrode deformable pour dispositif de fermeture d'un foramen ovale permeable WO2007038609A2 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US72091305P 2005-09-26 2005-09-26
US60/720,913 2005-09-26
US11/534,953 US7799023B2 (en) 2005-09-26 2006-09-25 Compliant electrode for patent foramen ovale closure device
US11/534,953 2006-09-25

Publications (2)

Publication Number Publication Date
WO2007038609A2 WO2007038609A2 (fr) 2007-04-05
WO2007038609A3 true WO2007038609A3 (fr) 2007-09-20

Family

ID=37900422

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/037691 WO2007038609A2 (fr) 2005-09-26 2006-09-26 Electrode deformable pour dispositif de fermeture d'un foramen ovale permeable

Country Status (2)

Country Link
US (2) US7799023B2 (fr)
WO (1) WO2007038609A2 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8529597B2 (en) 2006-08-09 2013-09-10 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US8840655B2 (en) 2006-08-09 2014-09-23 Coherex Medical, Inc. Systems and devices for reducing the size of an internal tissue opening
US8979941B2 (en) 2006-08-09 2015-03-17 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening

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US7799023B2 (en) * 2005-09-26 2010-09-21 Coherex Medical, Inc. Compliant electrode for patent foramen ovale closure device
US8221405B2 (en) * 2006-02-06 2012-07-17 Coherex Medical, Inc. Patent foramen ovale closure device and methods for determining RF dose for patent foramen ovale closure
US8402974B2 (en) * 2006-05-30 2013-03-26 Coherex Medical, Inc. Methods, systems, and devices for sensing, measuring, and controlling closure of a patent foramen ovale
US7938826B2 (en) * 2006-05-30 2011-05-10 Coherex Medical, Inc. Methods, systems, and devices for closing a patent foramen ovale using mechanical structures
US8394090B2 (en) 2007-06-25 2013-03-12 Terumo Kabushiki Kaisha Medical device
EP2008600B1 (fr) * 2007-06-25 2010-09-22 Terumo Kabushiki Kaisha Dispositif médical
EP2205309A4 (fr) * 2007-10-05 2011-05-11 Coaptus Medical Corp Systèmes et procédés pour procédures cardiaques transeptales comprenant des câbles de guidage séparables, des éléments de pénétration de tissus, des éléments de scellage de tissus et des dispositifs de compression de tissus
EP2520233B1 (fr) * 2009-04-02 2017-11-01 Endoshape, Inc. Dispositifs d'occlusion vasculaire
DE102009036818A1 (de) 2009-08-10 2011-02-17 Acoredis Gmbh LAA-Occlusionsinstrument und Verfahren zu seiner Herstellung
US9414823B2 (en) * 2012-04-25 2016-08-16 Medtronic Ventor Technologies Ltd. Hole-closure device
DE102014201859A1 (de) * 2014-02-03 2015-08-06 Olympus Winter & Ibe Gmbh Elektrochirurgisches Instrument
CN106901792B (zh) * 2015-12-29 2019-11-01 深圳市科奕顿生物医疗科技有限公司 左心耳封堵器
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CN108553101B (zh) * 2018-01-18 2024-02-06 常州瑞神安医疗器械有限公司 一种瓣状脑部电极
CN110882026B (zh) * 2018-09-11 2022-01-07 上海捍宇医疗科技股份有限公司 一种心尖封闭器
EP3628274B1 (fr) 2018-09-25 2022-03-09 TruLeaf Medical Ltd. Dispositif de réparation d'un anneau mitral
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8529597B2 (en) 2006-08-09 2013-09-10 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US8840655B2 (en) 2006-08-09 2014-09-23 Coherex Medical, Inc. Systems and devices for reducing the size of an internal tissue opening
US8864809B2 (en) 2006-08-09 2014-10-21 Coherex Medical, Inc. Systems and devices for reducing the size of an internal tissue opening
US8979941B2 (en) 2006-08-09 2015-03-17 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US9138208B2 (en) 2006-08-09 2015-09-22 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US9220487B2 (en) 2006-08-09 2015-12-29 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US9585644B2 (en) 2006-08-09 2017-03-07 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening

Also Published As

Publication number Publication date
US7799023B2 (en) 2010-09-21
US20080215085A1 (en) 2008-09-04
WO2007038609A2 (fr) 2007-04-05
US20110093037A1 (en) 2011-04-21

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